medications Flashcards
Paracetamol
Analgesic
Aspirin
NSAID: analgesic. Used for anti-platelet properties as a blood thinner. high risk in patients at a high risk of falls.
ibuprofen
NSAID analgesic
naproxen
NSAID analgesics
OPIOIDS
Analgesics
OXYCODONE HYDROCHLORIDE
Analgesics
Endone
Short acting oxycodone hydrochloride- opioid analgesic. Short acting and kicks in within 30 mins. “breakthrough” pain control
Oxycontin/targin
Long acting. Kicks in within 60 mins. continuous pain control
Tramadol
synthetic opioid- analgesic. mod-severe pain. short term relief
MS contin
Slow release morphine- analgesics. severe ongoing pain such as cancer
Tapentadol
opioid analgesic. mod-severe pain
Panadeine forte
Analgesic- w/ paracetamol + codeine sulphate. Mod-severe pain
fentanyl
rapid-acting opioids (synthetic) analgesics. very strong. patches
Norspan/buprenorphine
opioid. analgesic
Indications for Diuretics
fluid overload, congestive heart failure, high blood pressure
Frusemide (lasix)
Diuretic
spironolactone (spiractin, aldactone)
Diuretic. reduce swelling from liver disease. treatfluid buildup.
Amiloride (Hydrene)
Diuretic. Treat BP and swelling
Bumetanide (bumex)
Diuretic. oedema
How does Diuretics work?
inhibits kidneys from absorbing sodium -> sodium gets secreted and so does water (osmosis) -> reduced fluid volume -> less strain on cardiac muscles.
Adverse effects of diuretics
reduction in BP (hypotension)
Fluid depletion
Electrolyte imbalance
falls risk
What are anti-hypertensives
drugs to treat high blood pressure. Through:
reducing cardiac output
reduce vasoconstriction
increase vasodilation
Beta blockers (-olol drugs)
Anti-hypertensives: manage abnormal heart rhythms, treat angina, reduce blood pressure. blocks effects of ephinephrine (adrenaline) -> heart beats slower w/ less force. widen veins and arteries to improve blood flow.
sotalol
Beta-blockers: anti-hypertensives. Anti-arrhthmics. Treat atrial fibrillation and other arrhythmias.
atenolol
Anti-hypertensive beta-blockers. Treat high blood pressure
metropolol
Anti-hypertensive beta-blockers. treat high blood pressure
bisoprolol
anti-hypertensive beta-blocker. treat high blood pressure.
carvedilol
anti-hypertensive beta-blocker. treat heart failure
adverse effects of beta-blockers
hypotension, fatigue, cold hands, bradycardia (slow heart), vivid dreams. HR will not rise as much with exercise
ACE inhibitors (-pril drugs)
Anti-hypertensives. Prevents ACE-induced vasoconstriction -> reduces resistance of blood floe through vascular system by preventing formation of angiotensin II- narrows blood vessels. preventing production of angiotensin II
Captopril
ACE-inhibitor, antihypertensive. Treat heart failure and hypertension
Monopril/fisonopril
ACE-inhibitor anti-hypertensive. treat hypertension and heart failure.
ramipril
ACE-inhibitor anti-hypertensive. treat hypertension, heart failure, kidney problems
adverse effects of ACE-inhibitors
fatigue, hypotension, dry cough. effectiveness may be reduced by using NSAIDS for long term
Angiotensin receptor blockers(ARBS) “-sartan” drugs
prevents angiotensin-induced vasoconstriction. the diff between ACE and ARBS is that ARBS reduces the effects of angiotensin whereas ACE reduces the production of them.
Olmesartan
ARBs anti-hypertensives. treat hypertension, heart failure and diabetic kidney disease.
Telmesartan
ARBS- anti-hypertensives
side effects of ARBs
Headache, dizziness, weakness, fatigue, stuffy nose
Calcium channel blockers
anti-hypertensives
reduce contractility of cardiac muscle -> reduce cardiac output.
reduce contraction of arterial walls
adverse effects of calcium channel blockers
hypotension, constipation, peripheral oedema, drowsiness
Verapamil
calcium channel blocker. anti-hypertensive. treat high blood pressure and control angina (reduced blood flow to the heart). prevent + treat irregular heart beats.
amlodipine
calcium channel blockers. anti-hypertensive. treat CAD, relaxes blood vessels so heart doesn’t need to pump as hard.
GTN (glyceryl trinitrate)
Anti-hypertensive. relaxes vascular smooth muslce -> reduces vasoconstriction. chest pain from angina.
Antihypertensives that target vascular resistance
Calcium channel blockers
ACE inhibitors
GTN
ARBs
Anti-hypertensives that target cardiac output
beta blockers
calcium channel blockers
Anti-arrhythmics
control abnormal heart rhythms -> common reduce high HR
adverse effects if anti-arrhythmics
bradycardia, hypotension (reduced cardiac output)
Digoxin
anti-arrhthmics. atrial fibrillation, atrial flutter, and heart failure.
adverse effects- headache, drowsiness, GI upset
amiodarone
Anti-arrhthmics. Prevents and treats many types of cardiac dysrrhythmias: ventricular tachycardia, ventricular fibrillation, and wide complex tachycardia, as well as atrial fibrillation and paroxysmal supraventricular tachycardia
adverse effects: liver + thyroid disturbance, nausea, headache, light sensitivity.
Anti-coagulants
Inhibit production of clotting factors -> prevent arterial clot formation: ->
Reduced risk of DVT/ PE/ Stroke.
potential for increased bleeding -> H`igh risk in patients who fall.
Warfarin
Anti-coagulant: requires regular monitoring of INR (international normalised ratio)
INR more than 4.5 = increased risk of haemmorrhage
INR less than 2.0 = increased risk of thromboembolism
interacts with lots of medications (antibiotics, cardiac medications, anti-depressants)
Heparin
Anti-coagulant
clexane
anti-coagulant
apixaban
anti-coagulant
Bronchodilators